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  • Counseling Referral Acknowledgement Form

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    This document is a counseling referral acknowledgement form from Magsaysay National High School. It confirms that a referred student has started counseling sessions with an attending guidance counselor. It provides the date the student was referred and started sessions. It includes a checklist of the status of the case, such as whether counseling is ongoing, sessions are completed, or the student was referred elsewhere. The form is addressed to the referring person or unit and signed by the attending guidance counselor.

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    This document is a counseling referral acknowledgement form from Magsaysay National High School. It confirms that a referred student has started counseling sessions with an attending guidance counselor. It provides the date the student was referred and started sessions. It includes a checklist of the status of the case, such as whether counseling is ongoing, sessions are completed, or the student was referred elsewhere. The form is addressed to the referring person or unit and signed by the attending guidance counselor.

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    12 views1 page

    Counseling Referral Acknowledgement Form

    Uploaded by

    celestinoptrixie
    This document is a counseling referral acknowledgement form from Magsaysay National High School. It confirms that a referred student has started counseling sessions with an attending guidance counselor. It provides the date the student was referred and started sessions. It includes a checklist of the status of the case, such as whether counseling is ongoing, sessions are completed, or the student was referred elsewhere. The form is addressed to the referring person or unit and signed by the attending guidance counselor.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    Republic of the Philippines

    Department of Education
    REGION III – CENTRAL LUZON
    SCHOOLS DIVISION OFFICE OF BATAAN
    MAGSAYSAY NATIONAL HIGH SCHOOL
    MAGSAYSAY, DINALUPIHAN, BATAAN

    COUNSELING REFERRAL ACKNOWLEDGEMENT FORM

    To: (Referring Person/Unit)


    Designation/Department:

    This is to confirm that _______________________________ whom you referred


    to us on _______________________________ had started his/her session on
    _______________________ and is being attended by _______________________.

    Kindly refer to the checklist below on the status of the case at hand.
     Closed at Intake Interview
     For Counseling
     Counseling Sessions are on-going
     Parent/ Guardian Conference Conducted
     Sessions Completed/ Case Terminated
     Student did not show up
     Under Monitoring
     Number of follow-ups made by the counselor: ________
     Referred to _____________________________________

    Thank you,
    Always for the welfare of students,

    _______________________
    Attending Guidance Counselor

    Date:

    Address: Magsaysay, Dinalupihan, Bataan


    Telephone No: (047) 613-21-36
    Email Address: magsaysaynhs.306604@gmail.com

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